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HomeMy WebLinkAboutHuman Services Board - Minutes - 2/27/2020BAYFIELD COUNTY HUMAN SERVICES BOARD MEETING EOC February 27, 2020 1 Board Members Present: Kent Seldal, Jim Crandall, Larry Fickbohm, Susan Rosa, Jeremy Oswald, Tom Gordon Board Members Excused: Lona Schmidt, George Newago Others Present: Elizabeth Skulan, Carrie Linder, Jeanine Spuhler, Sarah Traaholt, Cheryl Hanson, Mark Ables-Allison Call to Order and Introductions Crandall called the meeting to order at 4:04 p.m. Discussion and Possible Action - Review of the January 23, 2020 Meeting Minutes Motion by Fickbohm, second by Newago, to approve the minutes as presented. Motion passed. Public Comment – Limited to 3 minutes per person none Program Presentation – Red Cliff Indian Child Welfare (ICW), Gretchen Morris, Director – Morris was unable to attend the meeting. An Invitation will be extended to present at the March meeting instead. In lieu of the ICW presentation, Linder presented on the value of the Home Delivered Meals program. Home delivered meals program currently provides approximately 100 meals a day to functionally eligible adults in Bayfield County. Program is funded by federal, state and county levy dollars. Bayfield County is one of the five Wisconsin counties with the greatest percentage of residents over age 60 in the State. Increases to the population of seniors are anticipated as Baby Boomers age. They will all be of retirement age by 2030. There are concerns that the limited funding and staff invested in aging services will be insufficient. Monthly Section Reports Support Services – Elizabeth Skulan for Nikki Revak • Deanna Regan began employment on February 10th as receptionist. The support unit is now fully staffed. • Final 2019 invoices have been processed and paid. Staff are working on 2019 year-end reports. Contracts for 2020 have been mailed. • Support staff are tackling the backlog of scanned documents for Economic Support. The backlog is due to hardware issues. BAYFIELD COUNTY HUMAN SERVICES BOARD MEETING EOC February 27, 2020 2 • Revak and Skulan worked with Nasi to choose flooring, paint and carpet colors for the offices behind Aging and Disability. • Revak worked with the regional coordinator to complete an application to extend the collaborative Crisis Intervention Services for Youth (CCISY) grant for another year. Family Services – Cheryl Hanson • Welcomed Chris Beirl, Family Specialist. The Family Specialist works closely with families on safety issues and to provide parenting education and mentoring so children can remain safely or return safely to the home. • Alcohol or Other Drug Abuse (AODA) Social Worker position still vacant. • Family Services staff Marne Belanger, Stacy Schmidt, Sue Miller and Kelly Fitzgerald attended Present Danger Training in Rice Lake. The training provides tools for assessing safety in the homes of potentially endangered children. • Attended Family Find and Engagement training with Melissa Huempfner. This training focuses on how to connect kids in care with members of their support network, outside of their immediate family. • Fig Leaf Thrift Store provided a generous donation for children in protective placement and licensed foster care providers. The donation will be used to provide programs and items that aren’t covered by other funding. • Attended Superior Days in Madison with Skulan. Presented to Department of Human Services regarding: the need for higher Medicaid rates; the lack of providers; how difficult it is to access behavioral health services; and other challenges in a rural area. • There was an increase in Child Protective Services (CPS) cases this week. Economic Support – Jeanine Spuhler • Closed Wisconsin Home Energy Assistance Program (WHEAP) desktop monitoring. • Sarah Traaholt and Jessica Soulier attended WHEAP conference in February. • Changes took place in February for the BadgerCare Plus program for Abled Body Adults Without Children (ABAWD). Members must answer a treatment needs question; may need to pay monthly premiums; and can complete a voluntary health survey that may reduce the monthly premium. • Candace Kraft and Mary Hamel continue to work on the state required new worker training. • Northern Income Maintenance Consortium (NIMC) received notice the consortium had the highest payment accuracy in the State in 2019. Aging & Disability Services – Carrie Linder • Latest Caregiver newsletter has been printed. Mailing of 270 copies was completed last week. Email distribution of digital newsletter copy will be distributed to interested parties. Additional printed copies will be available at various locations in the community. • The census map of Bayfield County shows how the Census Bureau will invite households to participate in the 2020 census. Individuals with post office boxes will not receive a census card. Census workers will visit their home. Each person not counted in the Census represents approximately $1,500 in lost annual federal revenue per year. Aging BAYFIELD COUNTY HUMAN SERVICES BOARD MEETING EOC February 27, 2020 3 and Disability staff are strategizing on to reach as many Bayfield County seniors as possible, as seniors are a historically underreported population. • Both the Birth to Three (0-3) and Children’s Long-Term Services (CLTS) program were subject to a desk review at the beginning of this month. Consumer files were uploaded to MetaStar. This is the first time the 0-3 program has been subject to this type of review. Positive feedback has already been received from the 0-3 review. Results are not yet available for the CLTS review. • Hyde’s on Buskey Bay is no longer interested in providing meals for the Benoit meal site. Hyde’s will continue to provide meals to the Iron River location. Hyde’s is willing to work with DHS until a replacement is found. Monthly Reports Monthly reports reviewed and placed on file. A. Financial B. Training Discussion and Possible Action – Appointment DHS Board member for Bayfield Area Aimee Kaufmann notified DHS on November 2, 2019 that she and her family were moving to Montana on November 18, 2019. As a result, she is no longer be able to serve on the DHS Board. Mark Ludeking and Stephanie Haskins have submitted applications to fill the vacancy. After some discussion, it was determined that Stephanie Haskins would be recommended to the County Board Chair for an appointment to the Human Services Board. Motion by Gordon, second by Rosa, to recommend the appointment of Stephanie Haskins as the Bayfield area citizen member to the DHS Board. Motion passed. Discussion and Possible Action -Appointment of Richard Kemmer to the Aging and Disability Advisory Committee and Nutrition Advisory Council. Richard Kemmer applied to serve on the Aging and Disability Services Advisory Committee and the Nutrition Advisory Council. The Aging and Disability Services Advisory Committee recommended Richard’s appointment for approval. Motion by Gordon, second by Fickbohm to approve the appointment of Richard Kemmer to the Aging and Disability Advisory Committee and Nutrition Advisory Council. Motion passed. Discussion and Possible Action – Bayfield County Board Representative to the Woodland Enhanced Health Services Commission. Bayfield County is a member of the Woodland Enhanced Health Services Commission. The membership allows Bayfield County DHS to place individuals at Clark County Health Care Center (CCHCC) at a discounted rate. Each member county is required to appoint a representative who is on the County Board of Supervisors and the DHS/HHS/SS Committee to the Commission. Tom Gordon recently indicated that he will no longer be able to serve on the Commission. Board member must only attend via telephone. DHS is seeking another qualified representative BAYFIELD COUNTY HUMAN SERVICES BOARD MEETING EOC February 27, 2020 4 interested in serving on the Commission, so that a recommendation for appointment can be made to the Bayfield County Board Chair. Fickbohm showed interest in the appointment but suggested postponing the item until County Board members are assigned to committees after the election. No action was taken. Building Remodel – Update on building remodel The remodel is moving forward. Walls have been framed. Electric and technology wiring is complete. Drywall is hung. Project is expected to complete within the sixty-day timeline. DHS Advisory Committee Openings – Vacancies, Citizen Member Governing Board Aging and Disability Resource Center of the North to fill the vacancy left by Dick Compton; Service Provider, Family Member, Advocate or Interested Citizen Member, Comprehensive Community Services (CCS) Coordinating Committee to fill vacancy left by Linda Jorgenson; Family Services Advisory Committee, to fill vacancy left by Susan Davis; Aging and Disability Services Advisory Committee, to fill vacancy left by Suzanne Rooney. Progress is being made on the recruitment for all three vacancies. Superior Days 2020 Follow up – Short summary of event Hanson and Skulan participated in the 2020 Superior Days event. Hanson and Skulan, along with Douglas County staff, met with staff from the Departments of Health Services and Children and Families. The agency meetings are particularly valuable and gives county staff the opportunity to advocate for the North. Comprehensive Community Services (CCS) Program Status Report The CCS program recruiting for a half-time Registered Nurse. An anonymous complaint was registered with the Department of Health Services Division of Quality Assurance (DQA) in December. A recent review of records identified errors that were made when notes were entered by one staff person that raised concerns. Software was updated that will help address eliminate the error in the future. There continue to be issues with declining census, recruitment, staffing, supervision, services available, provider contracts and reconciliation. Hanson and Skulan are working with the County Administrator’s office to identify solutions. CCS Complaint – Investigation Result will be reviewed An anonymous complaint was filed with the State of Wisconsin Department of Health Services Division of Quality Assurance regarding CCS on December 4, 2019. The complaint had four allegations: 1.) Changes to a Service Plan were not approved by a participant; 2.) A delay in services occurred during program transition 3.) A change was made in service providers without the participant’s approval; 4.) Bayfield County did not respond to a complaint that was filed. DQA investigated. They pulled participant records from February 1 to July 1, 2019. Additional information was requested on February 12th; February 13th; and February 17th. The investigation resulted in two findings of program non-compliance. A copy of the documents regarding the findings are included in the packet. The findings could have been avoided had BAYFIELD COUNTY HUMAN SERVICES BOARD MEETING EOC February 27, 2020 5 adequate documentation been in the participant file. Skulan is developing a program improvement plan that will be submitted to the state. There were no monetary repercussions. Discussion and Possible Action – Support for hiring an additional Manager who is also a Mental Health Professional The CCS program is a complex Medicaid program that provides community-based, recovery- oriented services to individuals with mental health and substance abuse issues. The program is time intensive to administer and manage. When the program transitioned to DHS, it was clear that the workload of supervising and managing the program could be done by existing management staff on a short-term basis only. The DHS Management team simply does not have the capacity to manage the CCS program without another member and still provide quality services to participants. The Personnel Committee will be reviewing the request for a CCS Manager at their next meeting on March 5, 2020. Position is paid by the State. Motion by Gordon second by Fickbohm to go on record to support hiring a CCS Manager who is also a Mental Health Professional. Motion passed. Other (Informational Items) A. Greater Wisconsin Agency on Aging Resources, Inc. handouts regarding the importance and value of volunteer drivers in providing transportation to elders. B. E-mail from Cheryl Hanson to Nikki Revak and Kathy Wolfram thanking them for a comprehensive presentation to Family Services Staff. Future Meetings A. March 26, 2020 B. April 23, 2020 C. May 28, 2020 Adjournment at 5:30 p.m. Submitted by Sarah Traaholt, Clerk III